Individual
REAGAN ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 KINGSWOOD BLVD, GRAND PRAIRIE, TX 75052-4512
(972) 854-0009
Mailing address
1082 WOODBRIAR DR, GRAPEVINE, TX 76051-7817
(214) 668-6378
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
390200000
OK
207P00000X
Emergency Medicine Physician
Primary
T4043
TX
Other
Enumeration date
03/06/2017
Last updated
02/05/2026
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